| Journey Counseling Services | |
|
1000 S Hamilton St Ste G Lockport IL 60441-3197 | |
| (815) 546-0897 | |
| Not Available |
| Full Name | Journey Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 1000 S Hamilton St Ste G, Lockport, Illinois |
| Authorized Official Name and Position | Tracy Metcalf (PRACTICE OWNER) |
| Authorized Official Contact | 8155460897 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey Counseling Services 2364 Essington Rd Ste 321 Joliet IL 60435-1664 Ph: (815) 546-0897 | Journey Counseling Services 1000 S Hamilton St Ste G Lockport IL 60441-3197 Ph: (815) 546-0897 |
| NPI Number | 1588491658 |
|---|---|
| Provider Enumeration Date | 09/13/2024 |
| Last Update Date | 11/22/2024 |
| Certification Date | 11/22/2024 |
| Medicare PECOS PAC ID | 0547795023 |
|---|---|
| Medicare Enrollment ID | O20241120002317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588491658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Tracy D Metcalf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720493398 PECOS PAC ID: 2365976024 Enrollment ID: I20241118001394 |
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